<html>
<head>
<title>Simple Submit Page</title>
</head>
<body>
<form name="disform" action="/cgi-bin/printSubmitted.py" method="POST">
Input 1: <input type="text" name="test_input_1" /><br />
Input 2: <input type="text" name="test_input_2" /><br />
Input 3: <input type="text" name="test_input_3" /><br />
<input type="submit"/>
</form>
</body>
</html>


